Active NPI
Peter A McPherson, DMD
- Oral and Maxillofacial Radiology Dentistry
- Newberry, FL
National Provider Identifier
1033404132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Radiology Dentistry
- License
- 8164
- Practice address
- 1197 NW 133Rd Way
Newberry, FL 32669-0077 - Phone
- (864) 401-7839
- NPI assigned
- Jun 16, 2011
- Last updated
- Jan 22, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | 8164 | SC | Primary |
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | DN30382 | FL |
Addresses
Primary practice location
1197 NW 133Rd Way
Newberry, FL 32669-0077
Mailing address
1197 NW 133Rd Way
Newberry, FL 32669-0077
Phone (864) 401-7839
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160201001206 | SC | Order and Referring Only - Oral Surgery | 3779887492 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8164 | SC | MD | Professional Counselor |
| DN30382 | FL | MD | Oral and Maxillofacial Radiology Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peter McPherson, D.M.D., L.L.C. | General Practice | Current | Accepting new patients |
| Twin Falls Orthodontics LLC | Current | Accepting new patients |
Locations
2430 Hudson Rd
Greer, SC 29650
Phone (864) 896-7940
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Twin Falls Family Dentistry
- General Practice Dentistry
- Greer, SC
- NPI 1518474113
-
- Dental Clinic/Center
- Greer, SC
- NPI 1518605336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1033404132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1197 NW 133RD WAY",
"city": "NEWBERRY",
"state": "FL",
"postal_code": "326690077",
"telephone_number": "864-401-7839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1197 NW 133RD WAY",
"city": "NEWBERRY",
"state": "FL",
"postal_code": "326690077",
"telephone_number": "864-401-7839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCPHERSON",
"first_name": "PETER",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-16",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0008X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Radiology",
"state": "SC",
"license": "8164",
"primary": true
},
{
"code": "1223X0008X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Radiology",
"state": "FL",
"license": "DN30382",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newberry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.